24/09/2026
The latest pain science is very clear that persistent pain involves habitual fixed responses. The protective feeling that can be useful at the start to help the tissues heal can become overprotective.
At one stage the reflex to withdraw, to rest, to protect yourself from a difficult stimulus is important. For example, if you twist your ankle, you do need to rest and protect so that you can recover. That’s a useful reflex.
If your pain persists after the time for optimum healing, then the noisy signal of pain has become divorced from the actual state of the tissues.
Most of the time our bodies heal really well. Sometimes the tissues are a little thicker - there can be some scarring, and sometimes they’re a little bit more sensitive. But generally they’re fit for purpose - we can run, we can move, we can bend, we can lift, without fear.
However, in some cases, the alarm signal can hang around. We can get stuck in a state of withdrawing, and a contraction or protective reflex can take over and it becomes a bad habit.
So what can we do? I wrote my book Pain is Really Strange to explore exactly this question.